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Certificates of Insurance :.......h:ba;;t;1 il....~.liii)a8)liijt;~.bWi.~jSi)) ::::::::::::::::::::::::::::::::::~:~::::::::::::::::~::::::::::~:~:~~~:::~:::[:::::::::::jj[[j:[[:[:::~:::j:::[[[:[:[:[:[[~j~"[[jj'[jjj..,.jf1....~j~j[[[~jjjjl;[j~:jjSl~'f[:[~:~.:.::'M@~Qj:f1~:~":SiJi:j:::[[[[[::j:::~:::::::::::::=:=;;:::;::::::.:..... .................................................... ................................................... >. CERTiFICATE NUMBER 0003001-00396 PRODUCER Marsh USA Inc. 500 W. Monroe Ch i cago. IL 60661 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER OTHER THAN THOSE PROVIDED IN THE POLICY. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES DESCRIBED HEREIN. COMPANIES AFFORDING COVERAGE Barbara Cove 77 312/627-6160 COMPANY A TRAVELERS INDEMNITY OF ILL. INSURED CarVel Corporation 2010 Main Street Suite 1020 Irvine. CA 92614 COMPANY B NA TIONAL SURETY CORP COMPANY C TRA VELERS C&S COMPANY OF ILL COMPANY D EXECUTIVE RISK SPECIALTY INS THIS IS TO CERTIFY THAT POLICIES OF INSURANCE DESCRIBED HEREIN HAVE BEEN ISSUED TO THE INSURED NAMED HEREIN FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THE CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, CONDITIONS AND EXCLUSIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I SPECIAL ITEMS Limits of Liability: $5,000,000 Each Claim $5.000,000 Agg. Deductible: $100,000 Each Claim. - Claims Made Certificate Holder is named as an Additional Insured as respect to the (See reverse and/or attached for additional information.) Monroe County Public Service Building Attn: Nancy Cohen, WC Risk Mgr Room 215 Wing II Key West. FL 33040 SHOULD ANY OF THE POLICIES DESCRIBED HEREIN BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE INSURER AFFORDING COVERAGE WILL ENDEAVOR TO MAil ~ DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED HEREIN, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER AFFORDING COVERAGE, ITS AGENTS OR REPRESENTATIVES. Marsh USA Inc. BY: ifiFFiFiiiiiF~iiMiFiiJP~&;;im*wr - /OOM~diMiii ................. .......................... PRODUCER Marsh USA Inc. 500 W. Monroe Chicago, IL 60661 Attn: Ivey Matute (312) 627-6994 CH 1-000562569-00 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER OTHER THAN THOSE PROVIDED IN THE POLICY. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES DESCRIBED HEREIN. INSURED COMPANY A TRAVELERS INDEMNITY OF ILL. COMPANIES AFFORDING COVERAGE COMPANY B NATIONAL UNION FIRE INSURANCE CO OF PITTSBURGH CorVel CDrporation Attn: Jeanette Sioson 2010 Main Street, Suite 1020 Irvine, CA 92614 COMPANY D COMPANY C EXECUTIVE RISK INDEMNITY INSURANCE COMPANY THIS IS TO CERTIFY THAT POLICIES OF INSURANCE DESCRIBED HEREIN HAVE BEEN ISSUED TO THE INSURED NAMED HEREIN FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THE CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, CONDITIONS AND EXCLUSIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. CO TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS LTR DATE (MMIDD/YY) DATE (MM/DDNY) A GENERAL LIABILITY TC2J GLSA 280K509-5-01 04/30/01 04/30/02 GENERAL AGGREGATE $ X COMMERCIAL GENERAL LIABILITY PRODUCTS-COM~OPAGG $ CLAIMS MADE ~ OCCUR PERSONAL & ADV INJURY $ OWNER'S & CONTRACTOR'S PROT EACH OCCURRENCE $ FIRE DAMAGE (Anyone fire) $ $ A AUTOMOBILE LIABILITY TC2J CAP 280K510-2-01 04/30/01 04/30/02 $ COMBINED SINGLE LIMIT ANY AUTO ALL OWNED AUTOS .,- X SCHEDULED AuTOS X HIRED AUTOS ,-- I X. NON-OWNED AUTOS I ~~"t -----='-- -_.~~~- t-_.. GARAGE LIABILITY ANY AUTO B EXCESS LIABILITY BE 8714022 X UMBRELLA FORM A A OTHER THAN UMBRELLA FORM WORKERS COMPENSATION AND EMPLDYERS' LIABILITY 04/30/02 04/30/02 TC2J UB 280K507-1-01 TRJ UB 280K508-3-01 04/30/01 04/30/01 THE PROPRIETOR! X PARTNERS/EXECUTIVE OFFICERS ARE: INCL EXCL C MANAGED HEALTH CARE PROFESSIONAL LIABILITY 10/31/02 8167-3843 10/31/01 I' ":JDll Y 'NJURY (per ~er~n) j - - -~- I BODILY INJURY . (~er aCCident) , 1'--- '-- ,- - . : PROP~RTY DAMAGE $ --+-----.___ ,., __ _ - --J , AUTO ONLY - EA ACCIDENT I $ 10,000,000 2,000,000 1,000,000 1,000,000 1,000,000 10,000 1,000,000 $ $ OTHER THAN AUTO ONLY: EACH ACCIDENT $ $ $ $ $ AGGREGATE EACH OCCURRENCE AGGREGATE 5,000,000 5,000,000 X EL DISEASE-POLICY LIMIT EL DISEASE-EACH EMPLOYEE Retro Date: 4/10/87 Each Claim Each Aggregate Retention Per Claim DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/SPECIAL ITEMS (LIMITS MAY BE SUBJECT TO DEDUCTIBLES OR RETENTIONS) Monroe County is included as an additional insured under the General Liability and Professional Liability policy as resepcts to their interest. 5,000,000 5,000,000 1 00 000 Monroe County Public Service Building. i , Attn: Nancy Cohen, WG,.RrSK Mgr 0\" \ 9 20m Room 215 Wing II ,'I N'~ Key West, FL 33040 ' THE INSURER AFFORDING COVERAGE WILL ENDEAVOR TO MAIL --3.0 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED HEREIN. BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON 'THE INSURER AFFORDING COVERAGE. ITS AGENTS OR REPRESENTATIVES. MARSH USA INC. CERTIFICATE OF INSURANCE CERTIFICATE NUMBER CHI-000562569-00 PRDDUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS Marsh USA Inc. NO RIGHTS UPON THE CERTIFICATE HOLDER OTHER THAN THDSE PROVIDED IN THE 500 W. Monroe POLICY. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE CDVERAGE Chicago, IL 60661 AFFORDED BY THE POLICIES DESCRIBED HEREIN. Attn: Barbara Covell 312/627 -6160 COMPANIES AFFORDING COVERAGE COMPANY A TRAVELERS INDEMNITY OF ILL. INSURED COMPANY CorVel Corporation B National Union Fire of Pittsburgh 2010 Main Street Suite 1020 COMPANY Irvine, CA 92614 C EXECUTIVE RISK INDEMNITY INSURANCE COMPANY COMPANY D COVERAGES This certificate supersedes and replaces any previously issued certificate for the policy period noted below. THIS IS TO CERTIFY THAT POLICIES OF INSURANCE DESCRIBED HEREIN HAVE BEEN ISSUED TO THE INSURED NAMED HEREIN FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THE CERTIFICATE MAY BE ISSUED OR MAY PERTAIN. THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, CONDITIONS AND EXCLUSIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. CO TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS LTR DATE (MMIDDfYYI DATE (MMIDDfYY) A GENERAL LIABILITY TC2J GLSA 280K509-5-01 04/30/01 04/30/02 GENERAL AGGREGATE $ 10,000,000 - X COMMERCIAL GENERAL LIABILITY PRODUCTS - COMP/OP AGG $ 2,000,000 l CLAIMS MADE ~ OCCUR PERSONAL & ADV INJURY $ 1,000,000 - OWNER'S & CONTRACTOR'S PROT EACH OCCURRENCE $ 1,000,000 FIRE DAMAGE (Anyone fire) $ 1,000,000 MED EXP (Anv one oerson\ $ 10,000 A AUTOMOBILE LIABILITY TC2J CAP 280K510-2-01 04/30/01 04/30/02 $ 1,000,000 - COMBINED SINGLE LIMIT - ANY AUTO ---.-" --.---. _u_._____ ALL OWNED AUTOS ^ I ~ l\ ~ ['BODILY INJURY $ '-- -1'D~:'~ , X :m" (Per person) SCHEDULED AUTOS .'.~ . I e- 1("Ul.tDt1 ~O~~~ ~N~~~~ - - -- -- -.-- ----- ---.--. ~.- ---- J X HIRED AUTOS ~--~ '-- ~:,' --LO\d $ X NON-OWNED AUTOS ~ (Per aCCIdent) '-- ~\ ~\ f\.f) i PROPERTY OAMAGE 1---- ---- $ ..- GARAGE LIABILITY ;,t," .\'~~: ;~~,;- : '/~C:. LG~ AUTO ONLY - EA ACCIDENT $ '-- - '-- ANY AUTO \ 1\ \. ( OTHER THAN AUTO ONLY: '-- ,A /,1\ .U.d\I\ EACH ACCIDENT $ \ WV "V - ( , ~ AGGREGATE $ B EXCESS LIABILITY BE 8714022 04/30/01 04/30/02 V EACH OCCURRENCE $ 5,000,000 r9 UMBRELLA FORM AGGREGATE $ 5,000,000 OTHER THAN UMBRELLA FORM $ A ' WOIlKFR!\ r.OMPENSATION AND 'TC2J US 2801(S07-i-Oi 04/30/01 04/30/02 "'r; STATU i j VEFt EMPLOYERS' LIABILITY X I iORY LIMITS A TRJ UB 280K508-3-01 04/30/01 04/30/02 EL EACH ACCIDENT $ 1,000,000 THE PROPRIETOR! PlINCL EL DISEASE-POLICY LIMIT $ 1,000,000 PARTNERS/EXECUTIVE OFFICERS ARE: EXCL EL DISEASE-EACH EMPLOYEE $ 1,000,000 C OTHER 8167-3843 10/31/00 10/31/01 Retro Date: 10/31/88 MANAGED HEALTH CARE Each Claim 5,000,000 PROFESSIONAL LIABILITY Each Aggregate 5,000,000 Ded. Each Claim Claim Made 100 000 DESCRIPTION OF OPERATlONSfLOCATIONSNEHICLES/SPECIAL ITEMS (LIMITS MAY BE SUBJECT TO DEDUCTIBLES OR RETENTIONS) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE POLICIES DESCRIBED HEREIN BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE INSURER AFFORDING COVERAGE WILL ENDEAVOR TO MAil ---3..0 DAYS WRITTEN NOTICE TO THE Monroe County CERTIFICATE HOLDER NAMED HEREIN, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR Public Service Building Attn: Nancy Cohen, WC Risk Mgr LIABILITY OF ANY KIND UPON THE INSURER AFFORDING COVERAGE. ITS AGENTS OR REPRESENTATIVES Room 215 Wing /I Key West, FL 33040 MARSH USA INC. BY: James S Wylie ICt -, ~-- ~ ~~ , MM 1 (9/99) VALID AS OF: 04/30/01 ADDITIONAL INFORMATION DATE (MM/DDIYYI CHI-000562569-00 04/30/01 .. PRODUCER COMPANIES AFFORDING COVERAGE Marsh USA Inc. COMPANY 500 W. Monroe Chicago, IL 60661 E Attn: Barbara Covell 312/627-6160 COMPANY F INSURED COMPANY CarVel Corporation G 2010 Main Street Suite 1020 Irvine, CA 92614 COMPANY H TEXT Monroe County is included as an additional insured under the General Liability and Professional Liability policy as resepcts to their interest. CERTIFICATE HOLDER Monroe County Public Service Building Attn: Nancy Cohen, we Risk Mgr Room 215 Wing 1/ Key West, FL 33040 Pace 2 INCLUDES COPYRIGHTED MATERIAL OF ACORD CORPORATION WITH ITS PERMISSION.